Name: 111 SKILL CHECKLIST Week Topic Tacalty | Fa da initials/date Campus Lab Pass ii Clinieal Site Pass Med Exam “Medication Adminisuation Examn (PasuNo Pas) ss eronsate aplication of splints, slings, and immmobilizers (CPM, hip sling, abduction) STH “Teach east cao; removal of casts sight MS ‘Setup traction equipment (Buck's) MS Demonstate assesment for CMS (coor, motion, and sensation) checks and chart ndings, SH ‘Demonstate aplication office pasklane, et. Msc Demonstrate incisional assessment and removing skin sutures and staples. (Proc 34:12 ARB) Msc ‘Add supplies to lean field and domonatiste dressing change of coved wound ainage system, Demonstrate ann and leg stump wrapping ssc “Asses a patcat sing the Braden Scale and Weniiy Hak and each (perfor) appropriate interventions based on Braden Seale sore (Proc pe, 820) 4 Demonstate urinary system astesament for voiding ues ‘sing sterile tecnique for eateter insertion 1. Open sterile equipment packages without contamination, 1. Remove sterile supplies fom a container (une Proc 20-8) Demonstrate insertion and removal of winary catheters wang wel technique: Foley Gindveling) catheter in Caidiae SinaatonDenonstae asesment of a colostomy, changing a eclostomyappianes, 13 | M__| andiitrigaing the colostomy. Teach patient care of a colostomy. my (und Pro 28-6, 27, 28-8 Insight 283) Demons seins asogests tubs ting ep fo powds Tortie 14 |_| Bien cont, checking th losin, and onnecting the tae fo Suton, State &porforn appropiate askessmentselore and afr. Fund roe 262, sight 267) ‘Demons fling and admin ma a Nespas tube 2 a ae 1, Gastostomy (PEG, MIC-KEY) be b m Assess each, and discus mutitonal isos in managing |e © : Patent on ena edigs I z (Fund Proc 26-3; Insight 26-7. 8, 9, 10) Demonte ington of nasogastric ibe with appapai® 16 | M_ | asecsments y [ Banonstate assigning monTrng. ad empying clonal ‘wound dsimge system we fansc | & too at * © Penrose e (Gund Poe 315) | ‘Date removal of masogass abso Scns ewe OT PPE is | at | rand Proo2e) | wm | Assen ofan nar wi sears Neuro ‘Neo assessment specific o patent conditions (Sak, Parnas 20 | 5,8 | seit, meningitis and aging at) (und Insight 2-1, secre prceauons) Endocrine | 21 | Sim _| sndocrin Simulation ne ‘Perform Leopold's Maneuver and place an external monifor on a prenatal ¥ az | rr | clientin labor. lent the etal heart rt, tlhe pater snd ering Sctvs. Scenario wl be provided. on Tor neviy bor infant ___-_ | Demonsrie a sewborn asteasnent,iacinding ncwbom hearing 18 : 23 | Sim/M | Demonstrate administration of prophylactic eye care, Vitamin K, and epi B vaccine4 Simi Demons obaining «blood sample ftom anewbomn by tel pancare |S) as Noelle? Sim erfoama postpartum asessnent on amother who fas hada spontaneous vaginal delivery, operative vaginal delivery and cesarean setion. Include key teaching pints inelading reasfoeding,pos-partam. care, post-operative care, stz bath Breast exan/BSE. Neoplasia a ‘Testicular exam/TSE 0 6 ou Denonsate obtaining a wine spine 1. clean catch 2. mand outcatheter 1 2 3. retention catheter a r 4 cient teaching (Fundamentals, Procedares 27-2 A-C) Fer 2» ‘Deonstate unary catheter iigaton for TURP with CBT, Perfo required assessments (Fundamentals, Procedure 27-7 A&B) 0 ™ ‘Demonstrate care ofa patient with a winay diversion devise and rle= ply discharge teaching instructions (Fundamentals, Clinical Insight 273